Active NPI
Peters T Otlans, MD
- Orthopaedic Surgery Physician
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD61055362
- Practice address
- 16259 Sylvester Rd SW Ste 501
Burien, WA 98166-3059 - Phone
- (206) 243-1100
- Fax
- (206) 431-0835
- NPI assigned
- Apr 16, 2014
- Last updated
- Jul 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD183022 | OR | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD61055362 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | MD61055362 | WA | Primary |
Addresses
Primary practice location
16259 Sylvester Rd SW Ste 501
Burien, WA 98166-3059
Mailing address
16259 Sylvester Rd SW Ste 501
Burien, WA 98166-3059
Phone (206) 243-1100
Other practice location 1
452 Welch St
Silverton, OR 97381-1934
Phone (503) 874-2454
Other practice location 2
515 Minor Ave Ste 200
Seattle, WA 98104-2133
Phone (206) 243-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038244 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Boston University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone (509) 793-9780
1550 S Pioneer Way
Suite 115
Moses Lake, WA 98837-4618
1616 S Pioneer Way
Moses Lake, WA 98837-2487
16259 Sylvester Rd SW
Suite 501
Burien, WA 98166-3059
Phone (206) 243-1100
2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606
2600 Compass Rd
Glenview, IL 60026-8001
8420 Aspi Blvd
Suite 1
Moses Lake, WA 98837-3601
Phone (509) 793-9781
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 11 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61055362 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Proliance Surgeons Inc., P.S. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
16122 8th Ave SW
Ste D1
Burien, WA 98166
Phone (206) 241-7146
16259 Sylvester Rd SW
Ste 501
Burien, WA 98166
Phone (206) 242-7900
2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606
660 S Coolidge St
Moses Lake, WA 98837
801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606
515 Minor Ave
Ste 200
Seattle, WA 98104
Phone (206) 386-9615
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- peters.otlans.p48@direct.proliance.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samaritan Clinic
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1619086766
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
dba Samaritan Clinic on Patton
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1609112739
-
dba Samaritan
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance South Seattle Otolaryngology
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
-
dba Orthopedic Physician Associates
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1558300434
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Samaritan
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
-
- General Acute Care Hospital
- Burien, WA
- NPI 1558333682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1740600840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW STE 501",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663059",
"telephone_number": "206-243-1100",
"fax_number": "206-431-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW STE 501",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663059",
"telephone_number": "206-243-1100",
"fax_number": "206-431-0835"
}
],
"practiceLocations": [
{
"address_1": "452 Welch St",
"address_purpose": "LOCATION",
"city": "Silverton",
"state": "OR",
"postal_code": "973811934",
"country_code": "US",
"telephone_number": "503-874-2454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Minor Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042133",
"country_code": "US",
"telephone_number": "206-243-1100",
"fax_number": "206-431-0835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTLANS",
"first_name": "PETERS",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD183022",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WA",
"license": "MD61055362",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD61055362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038244",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.